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    <title>H+ 后台主题UI框架 - 空白页</title>
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<body style="color:#333;padding:3px;overflow-x: auto;">
    <!-- 标题 -->
    <div class="page-heade">
      <h1 class="title_color">销售费用核销面单-预览</h1>
    </div>
    <!-- 标题 -->
    <div >
    <form action="" class="form-inline">
      <table class="table table-bordered bud_hei text-center" style="margin-top:0">
         <tr>
            <td style="min-width: 140px;width: 140px;">申请人</td>
            <td class="text-left"><a href="javascript:;">周锦超</a></td>
             <td style="min-width: 140px;width: 140px;">所属部门/职位</td>
            <td class="text-left">市场营销部(东)/</td>
             <td style="min-width: 140px;width: 140px;">提交时间</td>
            <td class="text-left">2017-12-04 20:37</td>
         </tr>
         <tr>
            <td style="min-width: 140px;width: 140px;">经销商名称</td>
            <td colspan="5" class="text-left">东菀市宝多丰贸易有限公司</td>
         </tr>
         <tr>
            <td colspan="6" class="text-left">
                <p class="font-bold colorRed">温馨提示：请在发票粘贴联上注明此申请单编号<a href="javascript:;">点击查看图例</a></p>
                <p class="font-bold colorRed">并邮寄至：签收。(如邮寄地址未显示，请联系相关人员进行邮寄地址添加)</p>
            </td>
         </tr>
      </table>
      <table class="table table-bordered bud_hei text-center">
          <tr class="info">
            <th style="min-width: 50px;width: 50px" class="text-center" rowspan="2">序号</th>
            <th style="min-width: 80px" class="text-center" rowspan="2">原申请人</th>
            <th style="min-width: 120px" class="text-center" rowspan="2">原申请文件</th>
            <th style="min-width: 120px" class="text-center" rowspan="2">明细编号</th>
            <th style="min-width: 80px" class="text-center" rowspan="2">核查结果</th>
            <th style="min-width: 180px" class="text-center" rowspan="2">网点名称</th>
            <th style="min-width: 180px" class="text-center" rowspan="2">系统名称</th>
            <th style="min-width: 120px" class="text-center" rowspan="2">品牌</th>
            <th style="min-width: 120px" class="text-center" rowspan="2">三级费用科目</th>
            <th class="text-center" colspan="3">实际投入</th>
            <th class="text-center" colspan="8">本次申请核销</th>
             <th style="min-width: 120px;" class="text-center" rowspan="2">活动开始日期</th>
             <th style="min-width: 100px" class="text-center" rowspan="2">支付方式</th>
             <th style="min-width: 100px" class="text-center" rowspan="2">备注</th>
          </tr>
          <tr class="info">
            <th style="min-width: 100px;width: 100px;" class="text-center">实际投入金额</th>
            <th style="min-width: 100px;width: 100px;" class="text-center">已核销金额</th>
            <th style="min-width: 100px;width: 100px;" class="text-center">未核销金额</th>
            <th style="min-width: 100px;width: 100px;" class="text-center">未税核销金额</th>
            <th style="min-width: 140px" class="text-center">
            有无发票
            </th>
             <th style="min-width: 140px;width: 140px;" class="text-center">
            发票号</th>
             <th style="min-width: 140px" class="text-center">
            是否增值税<br>(可抵扣)
            </th>
             <th style="min-width: 100px" class="text-center">
            税率
            </th>
           <th style="min-width: 100px" class="text-center">税金</th> 
           <th style="min-width: 100px;width: 120px;" class="text-center">含税核销金额</th> 
           <th style="min-width: 120px;width: 120px;" class="text-center">实际投入金额</th> 
          </tr>
          <tr>
          <td>1</td>
          <td>张三</td>
          <td><a href="fomalcuxiaoapply.html">201708100012</a></td>
          <td>201708100012_1</td>
          <td>无</td>
          <td><a href="javascript:;">b石龙镇金沙湾购物广场*</a></td>
          <td><a href="javascript:;">b石龙镇金沙湾购物广场*</a></td>
          <td>元朗</td>
          <td>促销折让与折扣</td>
          <td class="ObjectNum">10800</td>
          <td class="ObjectNum">0</td>
          <td class="ObjectNum">10800</td>
          <td class="ObjectNum">10800</td>
          <td>
           有
          </td>
          <td>1231231</td>
          <td>
            否
          </td>
          <td><span class="ObjectNum">0</span>%</td>
             <td class="ObjectNum">0</td>
          <td class="ObjectNum">0</td>
          <td class="ObjectNum">0</td>
          <td>2017-08-12</td>
          <td>账扣</td>
          <td>阿萨达</td>
          </tr>
        <tr>
          <td>2</td>
         <td>张三</td>
          <td><a href="fomalcuxiaoapply.html">201708100012</a></td>
          <td>201708100012_1</td>
          <td>无</td>
          <td><a href="javascript:;">b石龙镇金沙湾购物广场*</a></td>
          <td><a href="javascript:;">b石龙镇金沙湾购物广场*</a></td>
          <td>元朗</td>
          <td>促销折让与折扣</td>
          <td class="ObjectNum">10800</td>
          <td class="ObjectNum">0</td>
          <td class="ObjectNum">10800</td>
          <td class="ObjectNum">10800</td>
          <td>
           有
          </td>
          <td>1231231</td>
          <td>
            否
          </td>
          <td><span class="ObjectNum">0</span>%</td>
             <td class="ObjectNum">0</td>
          <td class="ObjectNum">0</td>
          <td class="ObjectNum">0</td>
          <td>2017-08-12</td>
          <td>账扣</td>
          <td>阿萨达</td>
          </tr>
          <tfoot>
            <tr class="text-right">
              <td colspan="9" class="font-bold">合计</td>
              <td class="ObjectNum">10800</td>
              <td class="ObjectNum">0</td>
              <td class="ObjectNum">10800</td>
              <td class="ObjectNum">10800</td>
              <td></td>
              <td></td>
              <td></td>
              <td></td>
              <td class="ObjectNum">10800</td>
              <td class="ObjectNum">10800</td>
              <td class="ObjectNum">10800</td>
              <td colspan="3"></td>
            </tr>
          </tfoot>
      </table>
      <table class="table-bordered table">
          <tr>
            <td class="text-center" style="min-width: 120px;width: 120px;min-height:50px;height: 50px; ">备注:</td>
            <td><textarea name="" id="" class="form-control" style="width: 60%;overflow: auto;"></textarea><span style="vertical-align: bottom;">(500)</span></td>
          </tr>
          <tr>
              <td class="text-center" style="min-width: 120px;width: 120px">归档提醒</td>
              <td><input type="checkbox" name="gDocument">(温馨说明:若设置归档提醒，则该申请归档后系统会自动发送邮件及弹出框提醒您)</td>
          </tr>
      </table>
       <div class="form-group white-bg" style="margin:20px 10px 20px 20px">
        <input type="file" id="exampleInputFile">
        <p class="help-block" style="color:#1295d2">注：最多上传15个文件，每个文件小于50M,支持格式：</p>
        <p class="help-block" style="color:#1295d2">jpg,bnp,gif,png,jpeg,tif,raw,doc,docx,xls,xlsx,ppt,pptx,txt,pdf,rar,zip,mp4,avi,rmvb,rm,mid,3gp,AVI,3GP,,mpg,mp3,wma,wav</p>
    </div>
      <div class="row sub_btn" style="width:100%;text-align:center;padding: 20px 0">
        <input type="button" class="btn btn-success" value="保存为草稿">
        <input type="button" class="btn btn-primary" value="保存并提交流程">
    </div>
    </form>
    </div>
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